摘要
目的:了解当前护理院医务人员的中医药认知与适宜技术掌握情况。方法:于2021年10月采用方便抽样方法选取上海市10家护理院,并用简单随机抽样方法选取10家护理院的400名医务人员进行问卷调查。结果:86.2%的医务人员认为护理院开展中医药服务的未来前景非常好和较好,72.7%认为护理院开展中医药服务的疗效非常好和较好,不同岗位医务人员对护理院开展中医药服务的未来前景和开展中医药服务疗效的看法差异无统计学意义(P>0.05)。79.5%的医务人员能够掌握一种及以上的中医药适宜技术,康复治疗师的中医药适宜技术掌握人数比例高于医师和护士,不同岗位医务人员能否掌握中医药适宜技术的差异具有统计学意义(P<0.05),不同岗位医务人员对针刺法、灸法、推拿疗法、中医特殊疗法、中医综合疗法、中医药养生方法、中医体质辨识法和中医健康知识宣教的掌握情况差异均具有统计学意义(P<0.05)。结论:明确护理院中医类别执业人员的配备标准,提升医务人员的中医药适宜技术掌握能力,加强医疗、护理、康复人员的互相协作,形成中医药特色医护康一体化服务团队。明确护理院开展中医体质辨识服务的收费标准,促进护理院积极探索中医药适宜技术在老年人常见病、多发病和慢性病防治等方面的作用,形成“医养结合,以养为主”的护理院中医药养老服务模式。
Objective:To understand the cognition and mastery of the appropriate technology of the traditional Chinese medicine(TCM)among medical staff in nursing homes.Methods:Ten nursing homes in Shanghai were selected through convenient sampling in October 2021,and 400 medical staff in 10 nursing homes were selected through simple random sampling for questionnaire survey.Results:86.2%of the medical staff considered that the prospect of TCM service in nursing homes was very good and better,72.7%considered that the curative effect of TCM service was very good and better,the views of medical staff on the prospect and curative effect of TCM showed no statistically significant difference in different posts(P>0.05).79.5%could master one or more appropriate technologies of TCM,the mastery proportion of medical staff of appropriate technologies of TCM of physical therapists was higher than that of doctors and nurses,there was significant difference in whether medical personnel in different posts could master the appropriate technology of traditional Chinese medicine(P<0.05),and there were statistically significant differences in the mastery of acupuncture,moxibustion,massage therapy,TCM special therapy,TCM comprehensive treatment,TCM health preservation,TCM constitution identification and TCM health knowledge education among medical staff in different positions(P<0.05).Conclusion:It is necessary to clarify the equipped standard of TCM practitioners in nursing homes,improve the mastery ability of appropriate TCM technology of medical staff,strengthen the mutual cooperation of physicians,nurses and physical therapists,and form an integrated service team with TCM characteristics.It is necessary to clarify the charging standard of TCM physique identification service in nursing homes,promote nursing homes to explore the role of appropriate technologies of TCM in the prevention and treatment of common diseases,frequently occurring diseases and chronic diseases of the elderly,and form a traditional Chinese medicine elderly care service mode in nursing homes with“combination of medical care and nursing care,focusing on nursing care”.
作者
张语嫣
黄平
桑珍
黄萍
戎芬
ZHANG Yuyan;HUANG Ping;SANG Zhen;HUANG Ping;Rong Fen(School of Public Health,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Otolaryngology Department of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Institute of International Standardization of Traditional Chinese Medicine,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《上海医药》
CAS
2022年第12期14-17,58,共5页
Shanghai Medical & Pharmaceutical Journal
基金
上海市进一步加快中医药传承创新发展三年行动计划(2021年—2023年)[ZY(2021-2023)-0212]。
关键词
护理院
医务人员
中医药适宜技术
掌握情况
nursing home
medical staff
appropriate technology of traditional Chinese Medicine
mastery situation
